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46 RAVENNA AVE - BUILDING INSPECTION IM—*NSdd W T-BE ffLfG--AND APPROVED By T+IE ,IW.WT,D_R ,PFWR TD.A.PERMIT.BFING GRANTED CITY OF SALEM 7_15 r-03 No. /�— .�©� �'° .� i*,\ Date �`�MINC Is Property Located In Location of the Historic District? Yes_No_ Building Is Property Located in the Conservation Area? Yes_No_ (J BUILDING PERMIT APPLICATION FOR: Permit to: (Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool, Repair/Replace, Other: PLEASE FILL OUT LEGIBLY & COMPLETELY TO AVOID DELAYS IN PROCESSING TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit to build according to the following specifications: r� �[ Owner's Name STML� / n141V7-ORCSIiuSl� Address & Phone q6 Rf1yENN/q 7 �1-6 1�03 Architect's Name Address & Phone ( ) Mechanics Name Address & Phone 1 1 What is the purpose of building? Material of building? If a dwelling, for how many families? Will building conform to law? Asbestos? l \\ Estimated cot 66 City License n N P' Sta en a Borne Improvement U V Lie. i Sig ature f Applicant � 14,Lf SIGNED NDER THE PENALTY OF PERJURY DESCRIPTION OF WORK TO BE DONE a/awL C— 00AL 20OL- i, N()N& MAIL PERMIT TO: 46 gAVI51VA//9 AVC 5&-C—f, MR 019Z0 No. (p9' —2©O APPLICATION FOR PERMIT TO LOCATION PERMIT GRANTED 7 1(, 19 APR VED INSPECTOR OF BUILDINGS r CITY OF SALEM BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please Prue DATE JOB LOCATION /dT HOMEOWNER �( �/7 c/ L kI/V 14 11 V ADDRESS Gf Ql [� HOMEOWNER �/ 7U I Z z/7 (O/ Z�b 3 TELEPHONE PRESENT MAILING ADDRESS V'E The current exemption of"homeowners"was extended to include owner occupied dwellings of TWO Units or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner act as supervisor. DEFINITION OF HOMEOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one to two fancily dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she be responsible to all such work performed under the building permit. The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable goes by-laws,rules and regulations. The undersigned"homeowner"certifies he/sheZd the City of Salem Building Department minimum inspection procedures and re ems e comply with said procedures and requirements. 4� HOMEOWNER'S SIGNATURE APPROVAL OF BUILD G INSPECTOR See other side for state code HOMEOWNER'S EXEMPTION The code states that: "any homeowner performing work for which a building permit is requited shall be exempt from the provisions of this section (Section 109.1.1—Licensing of Construction Supervisors); Provided that is a homeowner engages a person(s)for hire to do such work,that such homeowner shall act as supervisor." Many homeowner who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules and Regulations for Licensing Construction Supervisors,Section 2.15). This lack of awareness often results in serious problems,particularly when the homeowner hires tndicensed persons. In this case your Board cannot proceed against the trnliansed person as it would with licensed Supervisor. The homeowner acting as supervisor is ultimately responsible. To ensure that the homeowner is fully aware of hiRuer responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a supervisor. You may care to amend and adopt such a form/certification for use in your community. M 7 - SI-1:7 D! AN 4 MAIN STREET USA i i i l � I 7HOUSE I` � I j i i i i i X � 20' Dian. POOL x FENCE t5 k Scale 111_20' L j SURVEYOR'S STAMP